Katie L Frost, APRN
Individual provider Active NPI Nurse Practitioner · Del City, OK
NPI 1679828693 · NPPES record last updated Aug 17, 2015
Key facts
- NPI
- 1679828693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 86085 (OK)
- Practice address
- 4600 SE 29TH St
Suite 750
Del City, OK 73115-3406 - Phone
- (405) 733-5900
- Fax
- (405) 733-5905
- NPI assigned
- Jul 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4409 N Kickapoo Ave
Magnolia Clinic
Shawnee, OK 74804-1225
Phone (405) 249-0459
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120828000639 | OK | Practitioner - Nurse Practitioner | 7416104385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 10Zero5 Ventures, Inc | Current | Accepting new patients | |
| NKR Enterprises, Aprn-CNP, PLLC | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
4409 N Kickapoo Ave
Ste 121
Shawnee, OK 74804
Phone (405) 249-0459
4409 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 242-4100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EECABD/Endpoint/EECABD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 86085 | OK | Yes |
Addresses
Primary practice location
4600 SE 29TH St
Suite 750
Del City, OK 73115-3406
Mailing address
4600 SE 29TH St
Suite 750
Del City, OK 73115-3406
Phone (405) 733-5900
Other providers in Del City, OK
- Val Joseph Fiorazo
- Toby Fisher
- Foot & Ankle Surgeons of Oklahoma PLLC
- Justin Jimmy Fowler
- Audralan Fox
- Fusion MD PLLC
- Franklin P Gartin
- Axl Geissler
- Sara Nicole George
- Sharon D. Germany
All providers in Del City, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.